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Surgical management of intermittent exotropia (IXT) in children: a literature review

2025-08Artigo científico Acesso aberto
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorLino, Pedro
dc.contributor.authorAguiar, Pedro
dc.contributor.authorCunha, Maria João
dc.date.accessioned2025-12-18T10:58:06Z
dc.date.available2025-12-18T10:58:06Z
dc.date.issued2025-08
dc.description.abstractIntroduction: Surgical treatment of intermittent exotropia (IXT) in children presents variable outcomes due to diverse surgical techniques, success definitions, and follow-up durations. There is a need to clarify factors influencing prognosis to guide clinical decisions. Methods: This review synthesizes published studies assessing surgical outcomes in pediatric IXT, focusing on success rates, criteria used, surgical approaches, and predictive factors influencing long-term results. Results: Short- and medium-term motor success rates are generally high; however, outcomes tend to decline over time, mainly due to postoperative exodrift, resulting in recurrence and reoperation. Unilateral recess-resect procedures showed better long-term results in some cohorts, while modified techniques like slanted lateral rectus recession yielded promising results in specific IXT subtypes. Preoperative sensory function and deviation control were significant predictors of success. Conclusion: Surgical outcomes in pediatric IXT vary widely, highlighting the importance of standardized success criteria, including sensory and motor measures. Extended follow-up and patient-specific surgical planning are essential for optimizing results. Future prospective research with uniform methodologies is necessary to improve treatment strategies.eng
dc.identifier.citationLino PM, Aguiar P, Cunha JP. Surgical management of intermittent exotropia (IXT) in children: a literature review. J Clin Surg Sci. 2025;1(2).
dc.identifier.urihttp://hdl.handle.net/10400.21/22362
dc.language.isoeng
dc.peerreviewedyes
dc.publisherScientific Knowledge Group
dc.relation.hasversionhttps://skgpublishers.com/assets/article-pdf/surgical-management-of-intermittent-exotropia-ixt-in-children-a-literature-review.pdf
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectOphthalmology
dc.subjectIntermittent exotropia
dc.subjectStrabismus
dc.subjectPediatric ophthalmology
dc.subjectSurgical outcomes
dc.titleSurgical management of intermittent exotropia (IXT) in children: a literature revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue2
oaire.citation.titleJournal of Clinical and Surgical Sciences
oaire.citation.volume1
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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